{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,29]],"date-time":"2026-07-29T10:51:11Z","timestamp":1785322271099,"version":"3.55.0"},"reference-count":32,"publisher":"SAGE Publications","issue":"11","license":[{"start":{"date-parts":[[2023,11,1]],"date-time":"2023-11-01T00:00:00Z","timestamp":1698796800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Telemedicine and e-Health"],"published-print":{"date-parts":[[2023,11]]},"abstract":"<jats:sec>\n                    <jats:title>Introduction:<\/jats:title>\n                    <jats:p>\n                      <jats:italic toggle=\"yes\">Central retinal artery occlusion (CRAO) is an under-recognized stroke subtype that may benefit from hyperacute reperfusion therapies. We aimed to evaluate the ability of telestroke activations to provide CRAO diagnosis and thrombolysis.<\/jats:italic>\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>\n                      <jats:italic toggle=\"yes\">This retrospective observational study investigates all encounters conducted for acute visual loss between 2010 and 2021 in our multicentric Mayo Clinic Telestroke Network. Demographics, time from visual loss to telestroke evaluation, ocular examination, diagnostic, and therapeutic recommendations were collected for CRAO subjects.<\/jats:italic>\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      <jats:italic toggle=\"yes\">Out of 9,511, 49 encounters (0.51%) were conducted for an acute ocular complaint. Five patients had possible CRAO, and 4 presented within 4.5\u2009h from symptom onset (range 1.5\u20135\u2009h). None received thrombolytic therapy. All telestroke physicians recommended ophthalmology consultation.<\/jats:italic>\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>\n                      <jats:italic toggle=\"yes\">Current telestroke assessment of acute visual loss is suboptimal and patients eligible for acute reperfusion therapies may not be offered treatment. Teleophthalmologic evaluations and advanced ophthalmic diagnostic tools should complement telestroke systems.<\/jats:italic>\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1089\/tmj.2022.0286","type":"journal-article","created":{"date-parts":[[2023,3,13]],"date-time":"2023-03-13T11:18:15Z","timestamp":1678706295000},"page":"1738-1743","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":11,"title":["Telemedicine for Acute Monocular Visual Loss: A Retrospective Large Telestroke Network Experience"],"prefix":"10.1177","volume":"29","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1031-9184","authenticated-orcid":false,"given":"Oana M.","family":"Dumitrascu","sequence":"first","affiliation":[{"name":"Department of Neurology, Mayo Clinic College of Medicine and Science, Scottsdale, Arizona, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stephen","family":"English","sequence":"additional","affiliation":[{"name":"Department of Neurology, Mayo Clinic College of Medicine and Science, Jacksonville, Florida, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nour","family":"Alhayek","sequence":"additional","affiliation":[{"name":"Department of Neurology, Mayo Clinic College of Medicine and Science, Scottsdale, Arizona, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Emily","family":"Pahl","sequence":"additional","affiliation":[{"name":"Department of Neurology, Mayo Clinic College of Medicine and Science, Rochester, Minnesota, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Charisse","family":"Nord","sequence":"additional","affiliation":[{"name":"Department of Neurology, Mayo Clinic College of Medicine and Science, Rochester, Minnesota, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vanesa","family":"Vanderhye","sequence":"additional","affiliation":[{"name":"Department of Neurology, Mayo Clinic College of Medicine and Science, Scottsdale, Arizona, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cumara B.","family":"O'Carroll","sequence":"additional","affiliation":[{"name":"Department of Neurology, Mayo Clinic College of Medicine and Science, Scottsdale, Arizona, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7262-817X","authenticated-orcid":false,"given":"Bart M.","family":"Demaerschalk","sequence":"additional","affiliation":[{"name":"Department of Neurology, Mayo Clinic College of Medicine and Science, Scottsdale, Arizona, USA."},{"name":"Center for Digital Health, Mayo Clinic College of Medicine and Science, Scottsdale, Arizona, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2023,11,10]]},"reference":[{"key":"e_1_3_4_2_2","doi-asserted-by":"publisher","DOI":"10.1161\/STR.0000000000000211"},{"key":"e_1_3_4_3_2","doi-asserted-by":"publisher","DOI":"10.1089\/tmj.2020.0290"},{"key":"e_1_3_4_4_2","doi-asserted-by":"publisher","DOI":"10.1177\/1747493017706239"},{"key":"e_1_3_4_5_2","doi-asserted-by":"publisher","DOI":"10.1177\/1357633X19899262"},{"key":"e_1_3_4_6_2","doi-asserted-by":"publisher","DOI":"10.1177\/2396987318806718"},{"key":"e_1_3_4_7_2","doi-asserted-by":"publisher","DOI":"10.1161\/STR.0b013e318296aeca"},{"key":"e_1_3_4_8_2","doi-asserted-by":"publisher","DOI":"10.1161\/STR.0000000000000366"},{"key":"e_1_3_4_9_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ophtha.2021.07.017"},{"key":"e_1_3_4_10_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajo.2011.05.005"},{"key":"e_1_3_4_11_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ophtha.2014.04.029"},{"key":"e_1_3_4_12_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0161-6420(82)34853-8"},{"key":"e_1_3_4_13_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jstrokecerebrovasdis.2018.06.006"},{"key":"e_1_3_4_14_2","doi-asserted-by":"publisher","DOI":"10.1161\/STROKEAHA.116.015169"},{"key":"e_1_3_4_15_2","doi-asserted-by":"publisher","DOI":"10.3389\/fneur.2021.765069"},{"key":"e_1_3_4_16_2","doi-asserted-by":"publisher","DOI":"10.17226\/13058"},{"issue":"1","key":"e_1_3_4_17_2","first-page":"78","article-title":"A scalable framework for telehealth: The Mayo Clinic Center for Connected Care Response to the COVID-19 Pandemic","volume":"2","author":"Haddad TC BR","year":"2021","unstructured":"Haddad TC BR, , Prigge JE, et al. A scalable framework for telehealth: The Mayo Clinic Center for Connected Care Response to the COVID-19 Pandemic. Telemed Rep, 2021; 2(1):78\u201387.","journal-title":"Telemed Rep"},{"key":"e_1_3_4_18_2","doi-asserted-by":"publisher","DOI":"10.1089\/tmr.2022.0002"},{"key":"e_1_3_4_19_2","doi-asserted-by":"publisher","DOI":"10.1161\/STROKEAHA.119.027034"},{"key":"e_1_3_4_20_2","doi-asserted-by":"publisher","DOI":"10.1212\/WNL.0000000000200969"},{"key":"e_1_3_4_21_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jstrokecerebrovasdis.2018.06.024"},{"key":"e_1_3_4_22_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ophtha.2019.09.028"},{"key":"e_1_3_4_23_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00415-017-8702-x"},{"key":"e_1_3_4_24_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jstrokecerebrovasdis.2021.105988"},{"key":"e_1_3_4_25_2","doi-asserted-by":"publisher","DOI":"10.1111\/ene.14735"},{"key":"e_1_3_4_26_2","doi-asserted-by":"publisher","DOI":"10.3390\/clinpract11040106"},{"key":"e_1_3_4_27_2","doi-asserted-by":"publisher","DOI":"10.1097\/WCO.0000000000000880"},{"key":"e_1_3_4_28_2","doi-asserted-by":"publisher","DOI":"10.1212\/WNL.0b013e3182823361"},{"key":"e_1_3_4_29_2","doi-asserted-by":"publisher","DOI":"10.2147\/OPTH.S80487"},{"key":"e_1_3_4_30_2","doi-asserted-by":"publisher","DOI":"10.1089\/tmj.1.1997.3.141"},{"key":"e_1_3_4_31_2","doi-asserted-by":"publisher","DOI":"10.1177\/1357633X16660640"},{"key":"e_1_3_4_32_2","doi-asserted-by":"publisher","DOI":"10.5935\/0004-2749.20140055"},{"key":"e_1_3_4_33_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jstrokecerebrovasdis.2021.105828"}],"container-title":["Telemedicine and e-Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1089\/tmj.2022.0286","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1089\/tmj.2022.0286","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1089\/tmj.2022.0286","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T22:32:48Z","timestamp":1777588368000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1089\/tmj.2022.0286"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,11]]},"references-count":32,"journal-issue":{"issue":"11","published-print":{"date-parts":[[2023,11]]}},"alternative-id":["10.1089\/tmj.2022.0286"],"URL":"https:\/\/doi.org\/10.1089\/tmj.2022.0286","relation":{},"ISSN":["1530-5627","1556-3669"],"issn-type":[{"value":"1530-5627","type":"print"},{"value":"1556-3669","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,11]]}}}